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Contact Information

EMIL L GURSHUMOV, MD
3049 BRIGHTON 6TH ST
UNIT CU 1
BROOKLYN, NY11235-3020
 Phone: 718-934-0322
 Fax: 718-934-0994
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urogynecology and Reconstructive Pelvic Surgery

207VF0040X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for EMIL L GURSHUMOV · (Male)

NPI Number 1942529367
Status Active
Credentials MD
Entity Individual
Enumeration date 05/25/2010
Last updated 08/09/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MA08762100
  • NY License # 265211
  • NY Medicaid 03624004
Hospital affiliation(s)
  • SOUTH NASSAU COMMUNITIES HOSPITAL - (Acute Care)
    ONE HEALTHY WAY
    OCEANSIDE, NY 11572
  • WYCKOFF HEIGHTS MEDICAL CENTER - (Acute Care)
    374 STOCKHOLM STREET
    BROOKLYN, NY 11237
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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